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General NPI Number Information
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NPI Number | 1871638700
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Entity Type | Organization
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Legal Business Name | CASTHELY ORTHODONTICS, PA
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 NE MIAMI GARDENS DR SUITE# 101
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City | N MIAMI BEACH
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State | FL
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Zip | 33179-4845
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Country | US
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Telephone | 305-940-4911
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Fax | 305-940-4189
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Provider Business Mailing Address
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Address Line | 1400 NE MIAMI GARDENS DR SUITE# 101
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City | N MIAMI BEACH
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State | FL
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Zip | 33179-4845
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Country | US
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Telephone | 305-940-4911
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Fax | 305-940-4189
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUCIE CASTHELY
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Credential |
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Telephone | 305-940-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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